COVID-19 Safety Plan for Certified Day Program Reopening Agency Legal Name BLOCK INSTITUTE Agency Address 376 BAY 44TH STREET, BROOKLYN, NY 11214 □ Day Habilitation □ Prevocational □ Certified Site Day Program Type □ Day Treatment □ Respite □ Community, without Walls □ Sheltered Workshop Anticipated 7/21/2020 Reopening Date Operating Certificate Number 061430303,061430304,061430302 Site Address 2214 Stillwell Avenue 376 Bay 44th Street 7601 Bay Parkway (certified sites only) Brooklyn NY 11223 Brooklyn, NY 11214 Brooklyn, NY 11214 Certified Capacity 145, 67, 26 (certified sites only) Primary Contact Name John Jaramillo Primary Contact [email protected] Email and phone # 917-597-9612 The program’s Safety Plan must describe procedures to operate the certified day program site or deliver day program service in accordance with the guidance document, Interim Guidance Regarding the Reopening of Day Services Certified by the Office for People With Developmental Disabilities. This document provides the outline to utilize for development of the Safety Plan (or future revision). Some requirements may not be applicable to community-based services. Please submit the written safety plan for each program to OPWDD prior to the reopening at [email protected]. In addition, for each safety plan, a completed Day Program Site Attestation must also be submitted. OPWDD will maintain copies of the plans for our records. OPWDD will not be providing approvals of agency plans. Certified Sites must also maintain a copy of the program’s Safety Plan on premises available to facility staff, OPWDD and local health authorities upon request. Community day program services (non-site based, without walls) must also make a copy of the Safety Plan available upon request. Page 1 of 8 SAFETY PLAN COMPONENTS NOTE: Guidance bullets below are not a substitute for provider review and adherence to content of Interim Guidance Regarding the Reopening of Day Services Certified by the Office for People With Developmental Disabilities Signage – applies to certified sites and other locations controlled by the provider • Ensure program building entrances have signs that alert that non-essential visitors are not allowed. • Ensure signs are posted throughout the program building to provide instruction on the critical COVID-19 transmission prevention and containment activities identified in the companion document Interim Guidance Regarding the Reopening of Day Services Certified by the Office for People With Developmental Disabilities. Identify how you will ensure the above and any related strategies: Signage indicating non-entry for non-essential visitors will be posted on the front door. Any deliveries will be met outside of the facility to avoid traffic of non-essential persons in and out. Signage will be posted throughout Block Institute Day Program sites and administrative areas addressing critical COVID-19 transmission prevention and containment, including the following: • Use of mask or cloth face-covering requirements will be posted at exits, entrances, vehicles and throughout the building. • Proper storage, usage and disposal of PPE will be posted in all group rooms and vehicles. • Symptom monitoring and COVID-19 exposure reporting requirements will be posted throughout the building. • Proper hand washing and appropriate use of hand sanitizer will be posted in all group rooms and vehicles. • Room occupancy limits will be posted on room doors. • Visitors logs to identify persons not assigned to a given room or cohort will be placed on room doors. • Social distance markers and directional arrows will be placed on flooring of all traffic areas. • Social distance markers will be placed on classroom flooring. A. Entrance to Site Based Programs Pre-Entry/Pre-Participation Screening: • Screen all individuals, staff, and essential visitors prior to entry into the day program site and/or participation in services/service delivery: o per infection control standards for protection of screener and screened person, o to include temperature check and required questions on exposure and COVID-19 Symptoms, per NYS DOH and OPWDD guidance documents. • Maintain daily documentation of all screening of individuals, staff and visitors in compliance with OPWDD and NYS guidance and policy. Response to Signs and Symptoms and Departure: • Safe management of any individual, staff or visitor who fails initial/pre-program screening or is exhibiting signs or symptoms during service delivery, to include: o Facilitating departure as soon as possible, and o Safely manage separation from people not exhibiting symptoms, until they depart. • Ensure instruction is provided to any individual or staff sent home due to symptoms to contact their health care provider and written information on healthcare and testing resources. • Ensure the day program immediately notifies the local health department and OPWDD about the suspected case. Participation and Return to Program/Service Ensure staff members know to report and how to report positive COVID-19 test results, exposure/possible exposure, and signs and symptoms to their supervisor. • Ensure individuals do not participate in day services while they or a member of their household or certified residence is being quarantined or isolated. • Maintain medical documentation allowing an individual or staff member who was COVID-19 positive to return to program site/services. • Ensure any return of an individual or staff to programs/services occurs only in adherence to OPWDD and NYS DOH guidance regarding quarantine periods and fever free durations. Identify how you will ensure the above and any related strategies: PRE-ENTRY SCREENING a. Each location will have one designated entrance where screening will take place. All other entrances will remain unused and locked when safely acceptable. b. All staff, individuals and essential guests must be screened prior to entering by a supervisory level staff member or clinician, utilizing the assessment questions in the OPWDD Interim Guidance guidelines. c. Screening areas will be equipped with thermometer, gloves, hand sanitizer, masks, garbage pail, and cleaning supplies. d. Only essential persons wearing the proper PPE who have passed screening requirements will be allowed entry. e. Screening staff will be required to be trained on how to complete the following steps. The first staff person to arrive will self-assess. All visitors/employees/individuals will be asked screening questions regarding: (1) Covid-19 symptoms in the past 14 days (e.g. do you have fever, lower respiratory infection, trouble breathing, shortness of breath, cough, nasal congestion, runny nose, sore throat). (2) A positive Covid-19 test in the past 14 days. (3) Close contact with someone confirmed or suspected COVID-19 case within the last 14 days (4) Travel from within one of the designated states with significant community spread or international travel. The Screener will take visitors/employees/individuals temperature. If the visitor’s temperature is 100.1F or higher they will be asked not to enter the facility and to return home until they are fever free for a period of 72 hours without the use of fever reducing medications. The Screener will wear a mask and will change gloves between each temperature. Gloves will be disposed of in a separate tied bag in the garbage or a designated garbage bin. The bin garbage bag will also be tied off and disposed of at the end of the screening process. Screening will be documented on the visitor’s log [and/or Therap Electronic Record]. A supervisory staff or Health Care Professional will review screenings [each day for accuracy and completion. This will be documented by a date and signature or and electronic time stamp]. Social distancing will be maintained for people waiting to enter the building. Floor markers will be used as a guide. Upon entry, all staff and people supported must sanitize hands in the facility vestibule prior to entering the facility. A six-foot demarcation will be placed to indicate six feet distance from front desk staff. Front desk staff (as with all staff) must always wear a mask. Screening Log will be securely stored at the end of each day and maintained for use during contact tracing when needed. RESPONSE TO SIGNS AND SYMPTOMS/DEPARTURE If the visitor [answers yes to any of the screening questions] or their temperature is 100.1F or higher they will be asked not to enter the facility and to return home until they are fever free for a period of 72 hours without the use of fever reducing medications (i.e. Tylenol) and have consulted with a medical professional. In the event that an immediate departure prior to entering the facility is not possible, the individual with symptoms, exposure, or travel concerns will be escorted wearing a mask to an isolation area where they will remain until they can be transported home at the earliest possibility. All staff will be made aware of how to identify and report signs and symptoms of Covid-19.In the event that symptoms begin during the program day for any party, the individual will be escorted wearing a mask to an isolation area where they will remain until they can be transported home at the earliest possibility. All staff will be instructed on how to immediately and confidentially inform a supervisor should symptoms present for themselves or any parties. Supervisors will be aware that they must contact the local health department and OPWDD about any suspected case. Any party experiencing symptoms will receive written instructions